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Organization
SOLID SOCIETY OF NEW MEXICO CORP
Active
Organization
SOLID SOCIETY OF NEW MEXICO CORP
Active
Other names
Solid Society
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT THOMAS CLARK LPCC (EXECUTIVE DIRECTOR)
(505) 758-7200
Entity
Organization
Contact information
Practice address
609 GOLD AVE SW STE 1F, ALBUQUERQUE, NM 87102-3119
(505) 758-7200
Mailing address
1933 SAN MATEO BLVD NE # 191, ALBUQUERQUE, NM 87110-5146
(505) 758-7200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40136728
—
NM
Enumeration date
05/20/2021
Last updated
10/05/2021
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